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NPI Code Detail

MEDICARE: DR. ROBERT CRANLEY MD

MEDICARE: DR. ROBERT CRANLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology Physician25MA07491600NJ
22085R0202XDiagnostic Radiology Physician25MA07491600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336112242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT CRANLEY MD
Provider Business Mailing Address
First Line : 600 RIVER AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5237
Country : US
Telephone Number : 732-363-1900
Fax Number : 732-942-5658
Provider Business Practice Location Address
First Line : 600 RIVER AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5237
Country : US
Telephone Number : 732-363-1900
Fax Number : 732-942-5658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 04/11/2024

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Directions to “ DR. ROBERT CRANLEY MD” Practice Location

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